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UM Review RN/Clinical Rounding

Company: Lee Health
Location: Fort Myers
Posted on: September 12, 2019

Job Description:

Performs utilization management functions that assure regulatory compliance, medical necessity and appropriate level of care. Facilitates concurrent documentation in the medical record to accurately reflect care, services and resources utilized in the delivery of patient care. Provides onsite hospital rounds and acts as a liaison with Physician Advisor, Case Management, Nursing and Physicians.

Educational Requirements

Degree/Diploma ObtainedProgram of StudyRequired/

Preferredand/orAssociate'sNursingRequiredand

Additional Requirements

Ongoing efforts to obtain Bachelor's degree within 5 years.

Experience Requirements

Minimum Years RequiredArea of ExperienceRequired/

Preferredand/or3 YearsAcute CareRequiredand1 YearUtilization ManagementRequiredor3 YearsUtilization ManagementRequired

State of Florida Licensure Requirements

LicensesRequired/

Preferredand/orRegistered Nurse LicenseRequired

Certifications/Registration Requirements

Certificates/RegistrationsRequired/

Preferredand/orACM (Accredited Case Manager)RequiredorCCM (Certified Case Manager)RequiredorNACCM (National Academy of Certified Care Managers)Requiredor

Additional Requirements

Require Case Management certification, such as ACM, CCM, CMCN or NACCM within 3 years of employment.

Keywords: Lee Health, Fort Myers , UM Review RN/Clinical Rounding, Healthcare , Fort Myers, Florida

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